Unknown Individual – Nurse Practitioner, NPI 1144229816

Unknown Individual is a healthcare provider. based in Chicago, Illinois. specializing in Nurse Practitioner. They hold a License No. 209-001906 (IL). The NPI Number for Unknown Individual is 1144229816

Main info

Organization
Inactive
40 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1144229816
Phone
(630) 469-2000
Address
1860 PAYSPHERE CIR
Deactivation Date
9 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6309672000
Graduation Year
1986 (40 years ago)
PAC ID
8729047329
Group Practice PAC ID
5496667941
Professional Enrollment ID
I20041008000527

Contacts

Secure Messaging
pcolledge191911@direct.edward.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience18
Completeness85
Years active:0State licenses:2Other namesUpdated within 12 months

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Provider Addresses for Unknown Individual

  • 1860 PAYSPHERE CIR

    CHICAGO, IL 606742213

    Phone: (630) 469-2000

    Type: Mailing

  • 149, Weber Road, Bolingbrook, Will County, Illinois, 60490, United States

    BOLINGBROOK, IL 60490

    Phone: (630) 456-7245

    Type: Location

  • 235 S Gary Ave

    Bloomingdale, IL 60108

    Phone: (630) 893-9600

    Fax: (630) 785-9199

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60674)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496667941View full group profile
NameSpecialtyState
DR. YOOJIN KIM PAK (M.D.)
E N D O C R I N O L O G YIL
DR. ANAND P SHAH (M.D.)
Radiation OncologyIL
HAJIRA YOUNAS KHAN (MD)
Internal MedicineIL
BRADLEY D SHAPIRO (M.D.)
G A S T R O E N T E R O L O G YIL
AGNIESZKA JACKSON
Physical Therapist In Private PracticeIL
MRS. PEENA MAUNAK TALATI (P.T.)
Physical Therapist In Private PracticeIL
WIMOL ANN MITRAKUL (MD)
Family PracticeIL
MEHR P IQBAL (M.D.)
P S Y C H I A T R YIL
LINA GRACE MURPHY (PA-C)
Physician AssistantIL
DR. LINDA C EVANS BECKMAN (MD)
Family PracticeIL

Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1144229816.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Chicago, Illinois as a primary anchor for Unknown Individual unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.